Active NPI
William W Prine, MD
- Pediatrics Physician
- Clarksville, TN
National Provider Identifier
1285615013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 8366
- Practice address
- 2199 Memorial Dr
Clarksville, TN 37043 - Phone
- (931) 245-8400
- Fax
- (931) 245-8465
- NPI assigned
- Nov 9, 2005
- Last updated
- May 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8366 | TN | Primary |
Addresses
Primary practice location
2199 Memorial Dr
Clarksville, TN 37043
Mailing address
PO Box 3799
Clarksville, TN 37043
Phone (931) 245-7094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3170733 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8366 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367539200000",
"number": "1285615013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3799",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37043",
"telephone_number": "931-245-7094",
"fax_number": "931-245-7068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2199 MEMORIAL DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37043",
"telephone_number": "931-245-8400",
"fax_number": "931-245-8465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINE",
"first_name": "WILLIAM",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2013-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "8366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3170733",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
- Kristi L Price, P.T.A.
- Trista Ann Price, LCSW
- John Christian Prichard, PHARM.D.
- Taylor Priest
- Primary Care Plus
- Willie Pringle
- Elizabeth E Pritchett, M.D.
- Privia Medical Group Tennessee LLC (Sports Ortho Urgent Care)
- Privia Medical Group Tennessee LLC (Sports Ortho Urgent Care)
- Proactive Alliance Therapy & Wellness, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.